摘要
目的比较肝切除术后早期肠内营养与肠外营养在患者营养支持治疗中的作用。方法 59例肝切除术患者随机分为两组,手术后分别接受肠内和肠外营养1周,观察两种营养支持方法对患者基础营养状况、肝功能、胃肠功能、术后白蛋白用量、死亡率、并发症率和营养支持的费用等方面的影响。结果两组患者日均热卡及氮摄人量比较差异无统计学意义(P>0．05),营养支持耐受性较好。术后第8天时,肠内营养组的白蛋白、体重、上臂围未恢复至术前水平,而肠外营养组只有前白蛋白恢复至术前水平。肠内营养组患者胃肠功能恢复时间(29±12)h较肠外营养组(38± 14)h短,营养支持的日均费用(235±46)元较肠外营养组(344±65)元低,差异有统计学意义(P< 0．05)。结论对肝切除患者而言,肠内营养优于肠外营养。
Objective To compare early enteral with parenteral nutrional support in patients after bepatectomy. Methods In this study, 59 patients were randomized into 2 groups to respectively receive enteral or parenteral nutritional support beginning the first day post-op for a week. The general nutrition condition, liver function, gut function, dosage of albumin, mortality, complication rate and expense were recorded. Results Patients were given same quantity of heat and nitrogen. At the end of the study, serum albumin, body weight and upper arm circumference had not reached the preoperative level in patients receiving enteral mutrition while all except for serum prealbumin had not reached the level in parenterally nutritional patients. Furthermore, the time of gut begins functional （29 ± 12） h in enterally nutritional patients was shorter than in parenterally nutritional patients （38 ± 14 ） h. Enteral nutrition was more economic than parenteral nutrition （ P 〈 0. 05 ）. Conclusions In patients after hepatectomy, enteral nutrition is better than parenteral nutrition.
出处
《中华普通外科杂志》
CSCD
北大核心
2006年第2期117-119,共3页
Chinese Journal of General Surgery
关键词
肝切除术
肠营养
胃肠外营养
Hepatectomy
Enteral nutrition
Parenteral nutrition
